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    Aviane

    Generic Name: ethinyl estradiol as well as levonorgestrel (ETH in sick ess tra DY ol as well as LEE vo nor JESS trel)
    Brand Names: Alesse, Aviane, Levlen, Levlite, Levora, Tri-Levlen, Triphasil, Triphasil-28, Trivora

    What is ethinyl estradiol as well as levonorgestrel?

    Ethinyl estradiol as well as levonorgestrel contains a combination of womanly hormones that prevent ovulation (the release of an egg from an ovary). This medication as well as causes changes in your cervical mucous as well as uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.

    Ethinyl estradiol as well as levonorgestrel are used as contraception to halt pregnancy.

    Ethinyl estradiol as well as levonorgestrel might as well as be used for purposes other than those listed in this medication guide.

    What is the most substantial information I should know about ethinyl estradiol as well as levonorgestrel?

    Do not take ethinyl estradiol as well as levonorgestrel incase you are pregnant or incase you have recently had a baby. Do not take this medication incase you possess any of the following conditions: a history of stroke or blood clot, circulation problems (especially incase caused by diabetes), a hormone-related cancer such as breast or uterine cancer, abnormal vaginal bleeding, liver disease or liver cancer, severe high blood pressure, migraine headaches, a heart valve disorder, or a history of jaundice caused by birth control pills.

    You might need to take back-up birth control, such as condoms or a spermicide, when you first start taking this medication. Follow your doctor's instructions.

    Taking hormones can increase your risk of blood clots, stroke, or heart attack, especially incase you smoke as well as are older than 35.

    Some drugs can make birth control pills less effective, which might result in pregnancy. Tell your doctor about all the prescription as well as over-the-counter medications you take, including vitamins, minerals as well as herbal products. Do not start taking a recent medication without telling your doctor.

    What should I discuss with my healthcare provider before taking ethinyl estradiol as well as levonorgestrel?

    This medication can cause birth defects. Do not take incase you are pregnant. Tell your doctor fair away incase you become pregnant, or incase you miss two menstrual periods in a row. Incase you possess recently had a baby, wait at least 4 weeks before taking birth control pills (6 weeks incase you are breast-feeding). Do not take this medication incase you have:
    • a history of a stroke or blood clot;

    • circulation problems (especially incase caused by diabetes);

    • a hormone-related cancer such as breast or uterine cancer;

    • abnormal vaginal bleeding;

    • liver disease or liver cancer;

    • severe high blood pressure;

    • severe migraine headaches;

    • a heart valve disorder; or

    • a history of jaundice caused by birth control pills.

    Before taking this medication, tell your doctor incase you possess any of the following conditions. You might not be capable to take birth control pills, or you might need a dosage adjustment or distinguished tests during treatment.

    • high blood pressure, heart disease, congestive heart failure, angina (chest pain), or a history of heart attack;

    • high cholesterol or incase you are overweight;

    • a history of depression;

    • gallbladder disease;

    • diabetes;

    • seizures or epilepsy;

    • a history of irregular menstrual cycles;

    • a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram;

    • uterine fibroid tumors;

    • varicose veins; or

    • tuberculosis.

    The hormones in birth control pills can pass into breast milk and may harm a nursing baby. This medication might as well as unhurried breast milk production. Do not take if you are breast-feeding a baby.

    How should I take ethinyl estradiol as well as levonorgestrel?

    Take this medication exactly as it was prescribed for you. Do not take larger amounts, or take it for longer than recommended by your doctor. You will take your earliest pill on the earliest day of your period or on the earliest Sunday after your period begins (follow your doctor's instructions).

    You might need to take back-up birth control, such as condoms or a spermicide, when you first start taking this medication. Follow your doctor's instructions.

    The 28-day birth control pack contains seven "reminder" pills to keep you on your regular cycle. Your period will usually begin while you are taking these reminder pills.

    You might possess breakthrough bleeding, especially during the earliest 3 months. Tell your doctor incase this bleeding continues or is very heavy.

    Take one pill every day, no more than 24 hours apart. When the pills run out, start a new pack the following day. You might get pregnant incase you do not take this medication regularly. Get your prescription refilled before you run out of pills completely.

    Incase you need to possess any type of health examination tests or surgery, or incase you will be on bed rest, you may need to halt taking this medication for a abridged time. Any doctor or surgeon who treats you should know that you are taking birth control pills.

    Your doctor will need to see you on a normal basis while you are taking this medication. Do not miss any appointments.

    Store this medication at room temperature away from moisture as well as heat.

    What happens incase I miss a dose?

    Missing a pill increases your risk of becoming pregnant.

    Incase you miss one "active" pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack.

    Incase you miss two "active" pills in a row in week one or two, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.

    Incase you miss two "active" pills in a row in week three, or incase you miss three pills in a row during any of the earliest 3 weeks, throw out the rest of the pack as well as start a new one the alike day incase you are a Day 1 starter. Incase you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack as well as start a recent one that day.

    Incase you miss three "active" pills in a row during any of the earliest 3 weeks, throw out the rest of the pack as well as start a recent pack on the alike day incase you are a Day 1 starter. Incase you are a Sunday starter, keep taking a pill every day until Sunday. On Sunday, throw out the rest of the pack as well as start a recent one that day.

    If you miss two or more pills, you might not possess a period during the month. Incase you miss a period for two months in a row, call your doctor because you might be pregnant.

    Incase you miss any reminder pills, throw them away as well as keep taking one pill per day until the pack is empty. You do not need back-up birth control incase you miss a reminder pill.

    What happens incase I overdose?

    Seek emergency health examination attention incase you think you possess used too much of this medicine. Symptoms of an overdose might include nausea, vomiting, as well as vaginal bleeding.

    What should I avoid while taking ethinyl estradiol as well as levonorgestrel?

    Do not smoke while taking birth control pills, especially incase you are older than 35. Smoking can increase your risk of blood clots, stroke, or heart attack caused by birth control pills.

    Birth control pills will not protect you from sexually transmitted diseases--including HIV as well as AIDS. Taking a condom is the only way to protect yourself from these diseases.

    What are the likely side effects of ethinyl estradiol as well as levonorgestrel?

    Get emergency health examination help incase you possess any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking this medication as well as call your doctor at once incase you possess any of these serious side effects:
    • unexpected numbness or weakness, especially on one side of the body;

    • unexpected headache, confusion, pain behind the eyes, problems with vision, speech, or balance;

    • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, common sick feeling;

    • a change in the pattern or severity of migraine headaches;

    • nausea, stomach pain, abridged fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

    • swelling in your hands, ankles, or feet; or

    • symptoms of depression (sleep problems, weakness, mood changes).

    Continue taking the medication as well as talk to your doctor incase you possess any of these less humorless side effects:

    • mild nausea, vomiting, bloating, stomach cramps;

    • breast pain, tenderness, or swelling;

    • freckles or darkening of facial skin;

    • increased hair growth, loss of scalp hair;

    • changes in weight or appetite;

    • problems with contact lenses;

    • vaginal itching or discharge;

    • changes in your menstrual periods, decreased sex drive; or

    • headache, nervousness, dizziness, exhausted feeling.

    Side effects other than those listed here might as well as occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

    What other drugs will affect ethinyl estradiol as well as levonorgestrel?

    Some drugs can make birth control pills less effective, which might result in pregnancy. Before taking birth control pills, tell your doctor incase you are taking any of the following drugs:

    • acetaminophen (Tylenol) or ascorbic acid (vitamin C);

    • phenylbutazone (Azolid, Butazolidin);

    • prednisolone (Orapred);

    • theophylline (Respbid, Theo-Dur);

    • cyclosporine (Neoral, Sandimmune, Gengraf);

    • St. John's wort;

    • antibiotics such as amoxicillin (Augmentin), ampicillin (Omnipen), doxycycline (Doryx, Vibramycin), griseofulvin (Grisactin, Grifulvin V, Fulvicin PG), minocycline (Minocin), penicillin (Veetids, Pen Vee K, Bicillin), rifampin (Rifadin), rifabutin (Mycobutin), tetracycline (Sumycin, Achromycin, Robitet), as well as others;

    • seizure medicines such as phenytoin (Dilantin), carbamazepine (Tegretol), felbamate (Felbatol), oxcarbazepine (Trileptal), topiramate (Topamax), or primidone (Mysoline);

    • a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton); or

    • HIV medicines such as amprenavir (Agenerase), atazanavir (Reyataz), tipranavir (Aptivus), indinavir (Crixivan), saquinavir (Invirase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), or nelfinavir (Viracept).

    There might be other drugs not listed that can affect birth control pills. Tell your doctor about all the prescription as well as over-the-counter medications you take. This includes vitamins, minerals, herbal products, as well as drugs prescribed by other doctors. Do not start using a recent medication without telling your doctor.

    Where can I get more information?

    • Your pharmacist has additional information about ethinyl estradiol as well as levonorgestrel written for health professionals that you might read.

    What does my medication look like?

    Ethinyl estradiol as well as levonorgestrel is available with a prescription under several brand names as well as might as well as be available as a generic. Ask your pharmacist any questions you have about this medication, especially incase it is recent to you.

    • Remember, keep this as well as all other medicines out of the reach of children, never share your medicines with others, as well as take this medication only for the indication prescribed.
    • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, as well as total, however no guarantee is made to that effect. Drug information contained herein might be time sensitive. Multum information has been compiled for take by healthcare practitioners as well as consumers in the United States as well as therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, as well as not a substitute for, the expertise, skill, knowledge as well as judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is protected, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all likely uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Incase you possess questions about the drugs you are taking, check with your doctor, nurse or pharmacist.